C Dupont1, R-C Rudigoz2, M Cortet3, S Touzet4, C Colin5, M Rabilloud6, J Lansac7, T Harvey8, V Tessier8, C Chauleur9, G Pennehouat10, X Morin11, M-H Bouvier-Colle12, C Deneux-Tharaux12. 1. Réseau périnatal Aurore, hôpital de la Croix-Rousse, hospices civils de Lyon, 69004 Lyon, France; EAM 4128, laboratoire « Santé, Individu, Société », faculté de médecine Laënnec, 69372 Lyon, France. Electronic address: corinne.dupont@chu-lyon.fr. 2. Réseau périnatal Aurore, hôpital de la Croix-Rousse, hospices civils de Lyon, 69004 Lyon, France; EAM 4128, laboratoire « Santé, Individu, Société », faculté de médecine Laënnec, 69372 Lyon, France; Université Lyon Est, 69008 Lyon, France. 3. Université de Lyon 1, 69100 Villeurbanne, France; CNRS, UMR 5558, laboratoire de biométrie et biologie évolutive, équipe biostatistique-santé, 69100 Villeurbanne, France. 4. Pôle d'information médicale évaluation recherche, hospices civils de Lyon, université Lyon 1, 69424 Lyon, France. 5. EAM 4128, laboratoire « Santé, Individu, Société », faculté de médecine Laënnec, 69372 Lyon, France; Pôle d'information médicale évaluation recherche, hospices civils de Lyon, université Lyon 1, 69424 Lyon, France. 6. CNRS, UMR 5558, laboratoire de biométrie et biologie évolutive, équipe biostatistique-santé, 69100 Villeurbanne, France. 7. Réseau périnatal de la région Centre, CHU de Tours, 37044 Tours, France. 8. Réseau périnatal de Port Royal St Vincent de Paul, 75014 Paris, France. 9. Réseau périnatal Loire Nord Ardèche, CHU de Saint-Étienne, 42100 Saint-Étienne, France. 10. Réseau périnatal des 2 Savoie, centre hospitalier de Chambéry, 73011 Chambéry, France. 11. Réseau périnatal Alpes Isère, CHU de Grenoble, 38700 Grenoble, France. 12. Inserm UMR S953 recherche épidémiologique en santé périnatale, santé des femmes et des enfants, UPMC Paris 6, 75014 Paris, France.
Abstract
OBJECTIVE: To estimate the incidence, to describe the aetiology and to identify the risk factors of postpartum haemorrhage (PPH). MATERIAL AND METHOD: Prospective study conducted in 106 French maternity units of six perinatal networks between December 2004 and November 2006. PPH was defined by a blood loss superior to 500 mL or necessitating an examination of the uterus, or a peripartum haemoglobin drop superior to 2 g/dL. Severe PPH was defined by at least one of these criteria : peripartum haemoglobin drop superior or equal to 4 g/dL, embolization, conservative surgical procedure, hysterectomy, transfusion, transfer to intensive care or death. RESULTS: The incidence of PPH was 6.4% [CI 95% 6.3-6.5] with variations between maternity units from 1.5% to 22.0%; incidence of severe PPH was 1.7% [CI 95% 1.6-1.8] with variations between units from 0% to 4%. Atony was the main aetiology of PPH, whatever the mode of delivery and severity. The risk factors identified were those classically described in the literature. CONCLUSION: In these six French perinatal networks, in 2005-2006, the PPH profile was characterized by an incidence of severe forms higher than previous population-based estimates from other countries. This suggests a more frequent aggravation of PPH and the implication of inadequate PPH management.
OBJECTIVE: To estimate the incidence, to describe the aetiology and to identify the risk factors of postpartum haemorrhage (PPH). MATERIAL AND METHOD: Prospective study conducted in 106 French maternity units of six perinatal networks between December 2004 and November 2006. PPH was defined by a blood loss superior to 500 mL or necessitating an examination of the uterus, or a peripartum haemoglobin drop superior to 2 g/dL. Severe PPH was defined by at least one of these criteria : peripartum haemoglobin drop superior or equal to 4 g/dL, embolization, conservative surgical procedure, hysterectomy, transfusion, transfer to intensive care or death. RESULTS: The incidence of PPH was 6.4% [CI 95% 6.3-6.5] with variations between maternity units from 1.5% to 22.0%; incidence of severe PPH was 1.7% [CI 95% 1.6-1.8] with variations between units from 0% to 4%. Atony was the main aetiology of PPH, whatever the mode of delivery and severity. The risk factors identified were those classically described in the literature. CONCLUSION: In these six French perinatal networks, in 2005-2006, the PPH profile was characterized by an incidence of severe forms higher than previous population-based estimates from other countries. This suggests a more frequent aggravation of PPH and the implication of inadequate PPH management.
Authors: Paul I Ramler; Thomas van den Akker; Dacia D C A Henriquez; Joost J Zwart; Jos van Roosmalen Journal: BMC Pregnancy Childbirth Date: 2017-06-19 Impact factor: 3.007
Authors: M Widmer; G Piaggio; G J Hofmeyr; G Carroli; A Coomarasamy; I Gallos; S Goudar; A M Gülmezoglu; S L Lin; P Lumbiganon; K Mugerwa; O Owa; Z Qureshi; F Althabe Journal: BJOG Date: 2020-01-08 Impact factor: 6.531
Authors: Francisco Javier Ruiz Labarta; María Pilar Pintado Recarte; Laura Joigneau Prieto; Coral Bravo Arribas; Julia Bujan; Miguel A Ortega; Juan A De León-Luis Journal: Healthcare (Basel) Date: 2021-03-08